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妊娠合并胎儿三倍体的超声检查结果

Ultrasound findings in pregnancies complicated by fetal triploidy.

作者信息

Pircon R A, Porto M, Towers C V, Crade M, Gocke S E

机构信息

Department of Obstetrics and Gynecology, Memorial Women's Hospital, Long Beach, California.

出版信息

J Ultrasound Med. 1989 Sep;8(9):507-11. doi: 10.7863/jum.1989.8.9.507.

DOI:10.7863/jum.1989.8.9.507
PMID:2674473
Abstract

Antepartum ultrasound scans of seven pregnancies complicated by fetal triploidy were reviewed. Estimated gestational age (EGA) by ultrasound lagged EGA by last menstrual period in six of seven patients. Normal interval growth of biparietal diameter in the second trimester was demonstrated in all fetuses that had serial scans. Sonographic features commonly associated with fetal triploidy; such as oligohydramnios and cephalocorporal disproportion, were seen in only two cases. Fetal anomalies were evident by ultrasound in five of seven patients. Six of seven patients had partial moles. All of these patients had placentas that appeared abnormal. The ultrasound appearance of the placenta, however, was not the same with each case. Therefore, sonographic features of pregnancies complicated by fetal triploidy are not uniform and the diagnosis cannot be made by ultrasound alone.

摘要

回顾了7例合并胎儿三倍体妊娠的产前超声扫描结果。7例患者中有6例超声估计孕周(EGA)落后于末次月经计算的孕周。所有接受系列扫描的胎儿在孕中期双顶径均呈正常的间隔生长。仅2例出现了与胎儿三倍体常见相关的超声特征,如羊水过少和头体比例失调。7例患者中有5例超声显示胎儿异常。7例患者中有6例为部分性葡萄胎。所有这些患者的胎盘均表现异常。然而,每个病例中胎盘的超声表现并不相同。因此,合并胎儿三倍体妊娠的超声特征并不一致,不能仅通过超声作出诊断。

相似文献

1
Ultrasound findings in pregnancies complicated by fetal triploidy.妊娠合并胎儿三倍体的超声检查结果
J Ultrasound Med. 1989 Sep;8(9):507-11. doi: 10.7863/jum.1989.8.9.507.
2
Triploidy: Variation of Phenotype.三倍体:表型变异
Am J Clin Pathol. 2016 Jan;145(1):86-95. doi: 10.1093/ajcp/aqv012.
3
[Sonographic diagnosis in partial mole with increased HCG in triploidy syndrome].三倍体综合征中伴有人绒毛膜促性腺激素升高的部分性葡萄胎的超声诊断
Gynakol Rundsch. 1989;29 Suppl 2:460-1.
4
[Ultrasound findings as a sign of fetal triploidy].[超声检查结果作为胎儿三倍体的一个征象]
Ultraschall Med. 1986 Aug;7(4):169-71. doi: 10.1055/s-2007-1011939.
5
Prevalence of Partial Hydatidiform Mole in Products of Conception From Gestations With Fetal Triploidy Merits Reflex Genotype Testing Independent of the Morphologic Appearance of the Chorionic Villi.在伴有胎儿三倍体的妊娠产物中,部分性葡萄胎的发生率值得根据绒毛膜形态学表现以外的因素进行反射性基因检测。
Am J Surg Pathol. 2020 Jun;44(6):849-858. doi: 10.1097/PAS.0000000000001466.
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[Triploidy and mole. Apropos of 2 cases continuing to the second trimester].
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Partial moles: from postnatal to prenatal diagnosis.部分性葡萄胎:从产后诊断到产前诊断
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Evaluation of the obstetric and gynecologic patient by the use of diagnostic ultrasound.使用诊断性超声对妇产科患者进行评估。
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The role of deoxyribonucleic acid image cytometric and interphase cytogenetic analyses in the differential diagnosis, prognosis, and clinical follow-up of hydatidiform moles. A report from the Central Molar Registration in The Netherlands.脱氧核糖核酸图像细胞计量学和间期细胞遗传学分析在葡萄胎鉴别诊断、预后及临床随访中的作用。荷兰中央葡萄胎登记处的报告。
Am J Obstet Gynecol. 1997 Nov;177(5):1219-29. doi: 10.1016/s0002-9378(97)70043-7.
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引用本文的文献

1
Maternal complications in molecularly confirmed diandric and digynic triploid pregnancies: single institution experience and literature review.分子确诊的双雄和双雌三倍体妊娠中的母体并发症:单机构经验及文献综述
Arch Gynecol Obstet. 2020 May;301(5):1139-1145. doi: 10.1007/s00404-020-05515-4. Epub 2020 Mar 26.
2
Prenatal sonographic features can accurately determine parental origin in triploid pregnancies.产前超声特征可准确确定三倍体妊娠中的亲代来源。
Prenat Diagn. 2020 May;40(6):705-714. doi: 10.1002/pd.5666. Epub 2020 Mar 3.